Neonatal Intensive Care Unit BKMC GKMC Swabi

Neonatal Intensive Care Unit BKMC GKMC Swabi

We are the leading care provider in the region for all types of diseases of the Newborn. Our motto is to treat each & every newborn irrespective of caste, creed and religion.

Providing stat of the art Neonatal intensive care services in the region. Believing in quality care with equity and work dedication.

Operating as usual

Photos from Neonatal Intensive Care Unit BKMC GKMC Swabi's post 27/05/2022

A token of appreciation from a Grandmother of twins who remained admitted in our unit and discharged in stable condition.
She brought 1.5 L of fresh Milk and 2.25 L of Desi Lassi after travelling for almost one and half hour from 25 KMs.
She was really happy and praising each staff and doctor of NICU.

17/05/2022

امریکن اکیڈمی آف پیڈیاٹرکس بچوں کے لیے جوس یا چائے کی سفارش نہیں کرتی، جیسا کہ کچھ روایتی ترکیبیں بتاتی ہیں۔ بچوں کو پانی دینا، یا فارمولے کو پانی سے ملانا بھی خطرناک ہو سکتا ہے، جس کی وجہ سے غذائی اجزاء کم ہوتے ہیں اور آلودگی کے زیادہ ممکنہ خطرات ہوتے ہیں۔ صحت کے سنگین مسائل پیدا ہو سکتے ہیں۔

15/05/2022

CoVId 19 in Newborn

Photos from Neonatal Intensive Care Unit BKMC GKMC Swabi's post 15/05/2022

Key Slides of today's lecture!!!

15/05/2022

Management of Neonatal infections beyond Antibiotics

15/05/2022

Talk on Fungal infection in Neonatal Intensive Care Unit.

15/05/2022

Fungal infection in NICU

14/05/2022
14/05/2022
14/05/2022
14/05/2022
Tiny baby in Singapore, just 7.5 ounces at birth, goes home after 13 months in hospital 30/04/2022

Tiny baby in Singapore, just 7.5 ounces at birth, goes home after 13 months in hospital

World smallest baby weighing 212 grams discharged home after 13 months of care at NICU in Singapore.

https://www.washingtonpost.com/world/2021/08/09/singapore-tiny-baby/

Tiny baby in Singapore, just 7.5 ounces at birth, goes home after 13 months in hospital The new born baby girl, Kwek Yu Xuan, weighed barely half of the birth weight doctors had expected.

26/04/2022

HYPOXIC ISCHEMIC ENCEPHALOPATHY (HIE)

CLINICALLY:
1. During labour: Fetal heart rate slows.
2. At delivery:
* Yellow meconium stained amniotic fluid
* Failure of spontaneous breathing
* Hypotonia
* Pallor, cyanosis, apnea
* Slow heart rate
* Unresponsive to stimulation
* Seizures refractory to anticonvulsants
* CHF
* Shock
* RDS
* GIT perforation
* Hematuria.

DIAGNOSTIC CRITERIA:
Any ( four ) of the following:
1. Evidence of fetal distress
2. Acute metabolic acidosis, pH < 7.2
3. Apgar at 5 min < 5 min
4. Initiation of respiration > 5 min
5. Features of HIE
6. Multi organ damage.

TREATMENT:
* Oxygenation.
* IV fluids (Maintain hydration 2/3rd of maintenance in case severe HIE).
* Aggressively manage shock.
* Maintenance of temperature.
* Maintenance of acid base balance and electrolyte imbalance.
* Treatment of infection by antibiotics.
* Neurprotective medicine like MgSo4, citicholine, melatonin etc.

Symptomatic treatment of:
– Hypoglycemia : 10% glucose 2 ml/kg
– Hypocalcemia : Calcium gluconate 10% 1 to 2 ml/kg
– Convulsions : Phenobarbitone 10-20 mg/kg loading dose ,
Maintenance dose 5 mg/kg/day.

* Brain cooling (if facilities exist).

Photos from Neonatal Intensive Care Unit BKMC GKMC Swabi's post 26/04/2022

Concept of Trophic feeds also called Minimal Enteral Feed MEF. Well explained

26/04/2022

Oral Immune Therapy OIT:
Minimal quantity of maternal milk providing immunity to the ill preterm infant and act as a medicine for babies admitted in NICU away from mother

26/04/2022

A kind word from father of a baby who loss their baby due to HIE leading to multiorgan failure..

18/04/2022

Please elaborate the findings in the given chest and Abdominal X-Ray.
This is an X-Ray of 7 days old newborn with history of HIE Presented via ER with complaints of reluctance to feed coffee ground aspirats and abdominal distension.

15/04/2022

Sir Isaac Newton, a famous physicist, mathematician, and one of the world’s most influential scientists, was born prematurely.

He was tiny when he was born, weighing only 1360 Grams.

As his mother described, he could have fit within a milk jug. Although at the time most did not believe he would live for long; he survived and changed the course of science.

If you like this post, share it with a friend that might not know this!


13/04/2022
06/04/2022

If a baby is delivered preterm having low birth weight i.e. less than 1500 grams with other risk factors like
Antibiotics Usage
Formula Milk Feed
Prolonged Fasting
Abdominal Distension
Gastric Residuals
Feed intolerance
We should think of NEC Necrotizing EnteroColitis.
In term baby if there is evidence of Perinatal Asphyxia still baby can develop NEC.
Human milk has a protective role in NEC.

Photos from Neonatal Intensive Care Unit BKMC GKMC Swabi's post 05/04/2022

A little valuable information regarding Hypoxic Ischemic Encephalopathy. Although cooling for HIE babies is not available in whole KP, but we should know it as it is standard treatment therapy.

Photos from Neonatal Intensive Care Unit BKMC GKMC Swabi's post 24/03/2022

Cerebral Palsy Awareness Month

21/03/2022

Down Syndrome
Trisomy 21

Photos from Irish Air Corps's post 21/03/2022

Look How Much machinery and Human resources are involved in saving an infant life in developed 🌎.

https://m.facebook.com/story.php?story_fbid=334253198737856&id=100064595353468

Photos from Neonatal Intensive Care Unit BKMC GKMC Swabi's post 18/03/2022

Exchange Transfusion:
Baby with Total Bilirubin of 28 mg/dl
Exchange transfusion was done by Dr Tariq Afridi Resident Paediatrics succesfuly.

18/03/2022
12/03/2022
11/03/2022

Interventions in Preterm babies for prevention of Bronchopulmonary dysplasia
A recently Published latest Systematic review and Meta Analysis.
These are:
1) Delivery room CPAP.
2) Early Rescue Surfactant
3) Early Inhaled Steroids
4) Avoidance of Intubation and Surfactant by LISA
5) Volume control ventilation as opposed to pressure controlled ventilation.

11/03/2022

Baby boy remained admitted for 1 month in our unit with MAS PPHN NNS later on had Post COVID MIS-N. He fought all the challenges and graduated successfully. Real happiness for our team and parents of the baby.

11/03/2022

32 weeker twins discharge after 16days of stay in nicu..goes thru tough time (sepsis,jaundice,apneac spells)..
Salute to mother of twins who brought expressed breast milk for twins..
Discharge on Full ng tube feed and advice to follow after 1week..
Mother trained during stay about procedure of ng tube feeding,hygiene..

Photos from Neonatal Intensive Care Unit BKMC GKMC Swabi's post 06/03/2022

Pneumopericardium
Air in the pericardial cavity

03/03/2022

NRP

03/03/2022

Rocker Bottom Feet

02/03/2022

Immediate KMC "Kangaroo Mother Care" improves survival decreased morbidity and decreased the duration of admission to Neonatal unit

02/03/2022

Optimizing CPAP therapy and early surfactant therapy in preterm babies reduces the chances of CPAP Failure.

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CPAP Phototherapy, Oxygen Support Canulation Umbilical Catheterization incubator care cot care warmer care inotropic support as and when needed.

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BKMC Swabi
Swabi

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